Provider Demographics
NPI:1336473479
Name:HOONHOUT, JANE ELIZABETH (APRN, PMHNP)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:ELIZABETH
Last Name:HOONHOUT
Suffix:
Gender:F
Credentials:APRN, PMHNP
Other - Prefix:
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Other - Middle Name:
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Mailing Address - Street 1:PO BOX 485
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27261-0485
Mailing Address - Country:US
Mailing Address - Phone:336-883-1361
Mailing Address - Fax:336-883-0065
Practice Address - Street 1:2962 YOUTH UNLIMITED DR
Practice Address - Street 2:
Practice Address - City:SOPHIA
Practice Address - State:NC
Practice Address - Zip Code:27350-8481
Practice Address - Country:US
Practice Address - Phone:336-861-9243
Practice Address - Fax:336-861-9253
Is Sole Proprietor?:No
Enumeration Date:2009-09-22
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC5005078363LP0808X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental Health